| NPI | 1326623968 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: FL CNA281349)  | 
| Additional Taxonomies | 376J00000X Homemaker (Licence: FL CNA281349)  | 
| Enumeration Date | 2021-03-15 | 
| Last Update Date | 2021-04-15 |